College of Applied Health Sciences Ćuprija, Public health, Ćuprija, Republic of Serbia.
Institute for emergency medicine in Niš, Ćuprija, Republic of Serbia.
Rev Esc Enferm USP. 2023 Mar 31;57:e20220097. doi: 10.1590/1980-220X-REEUSP-2022-0097en. eCollection 2023.
The objective of this paper was threefold: To assess risk factors of blood-borne pathogen exposure and viral infection for employees at their workplace, to spot the differences between groups of respondents without exposure and those exposed to blood-borne infections, and to identify main risk predictors.
The Cross-Sectional Study was conducted, surveying 203 employees, at the Institute for Emergency Medical Services in Serbia, which were eligible to enter the study and surveyed by Previously Developed Questionnaire.
A total of 97.60% of respondents have perceived risk at their workplace, but there were low numbers of HIV, HbcAg, and Anti-HCV testing and poor percent of vaccination for hepatitis B. There were no statistically significant differences between spotted groups of respondents in their attitudes. Three variables were predictors: accidental usedneedle stick injuries (OR = 90.34; 95% CI, 8.79-928.03), contact with the blood of patientsthrough the skin (OR = 176.94; 95% CI, 24.95-1254.61), and the years of service (OR = 0.92; 95% CI, 0.86-1.00).
The significance of this study is that it points to a double risk, because not only health workers are endangered, but also citizens who receive first aid.
本文的目的有三:评估员工在工作场所接触血源性病原体和病毒感染的风险因素,发现无暴露组和暴露于血源感染组之间的差异,并确定主要风险预测因素。
本研究采用横断面研究,对塞尔维亚紧急医疗服务研究所的 203 名符合条件的员工进行了调查,采用预先制定的问卷进行调查。
共有 97.60%的受访者认为工作场所存在风险,但 HIV、HbcAg 和抗 HCV 检测数量较少,乙型肝炎疫苗接种率也较低。在态度方面,两组受访者之间没有统计学上的显著差异。三个变量是预测因素:意外使用的针头刺伤(OR=90.34;95%CI,8.79-928.03)、皮肤接触患者血液(OR=176.94;95%CI,24.95-1254.61)和服务年限(OR=0.92;95%CI,0.86-1.00)。
本研究的意义在于,它指出了双重风险,因为不仅卫生工作者面临危险,而且接受急救的公民也面临危险。